NHS England’s waiting list for elective treatment fell from 7.7m in October to 7.6m in November.
That’s the smallest it’s been since June, but still far larger than it was in November 2022 (7.2m).
Despite facing the most sustained industrial action in its history, the NHShas had a relatively good winter.
A mild flu season has helped keep demand for the health service relatively low, at least partially offsetting the impact of the strikes.
As of 7 January, just 2,271 beds were rendered unavailable due to seasonal winter illnesses.
That’s less than half the figure at this time last year (5,151).
As a result, hospitals have been unusually empty for this time of year, with an average of 93.5% of beds occupied in the first week of the year (compared to 94.7% at the same time last year).
With more capacity, hospitals have had more space to take on elective cases and cut waiting lists.
It has also reduced some of the pressures on A&E departments. Waiting times have fallen, though they still remain well above their pre-pandemic levels.
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In December, 104,000 people waited more than four hours to be admitted to A&E after the decision had been made to admit them, or 27% of all admissions.
That’s down from a record 33% of admissions in 2022, but far higher than it was in 2018 (11%).
One in every 12 admissions this December (8%, or 44,000 people) were forced to wait over 12 hours. Such waits were almost unheard of before the pandemic, affecting just 284 patients in December 2018.
Similarly, ambulance response times are better than last year, but remain above target.
The average call-out for a heart attack or stroke took 46 minutes to arrive, down from 48 minutes in December 2022 but six minutes above target.
For 10% of calls, ambulances took an hour and 41 minutes.
Sarah Woolnough, chief executive of the health charity, the King’s Fund, said the figures showed the NHS was still not meeting the majority of its most important performance targets this winter.
“On some measures, the situation is better than this time last year, in part thanks to efforts to increase capacity as well as relatively low hospital admissions from COVID-19 and flu, but patients are still not receiving an acceptable level of service,” she said.
“Behind each of these figures is a person who is struggling to receive the timely care they need and deserve, despite the best efforts of staff.”
Kate Seymour, head of advocacy at Macmillan Cancer Support, said that while the data showed a slight improvement on wait times, there were “still thousands of people in England facing agonising delays for vital cancer diagnosis and treatment”.
“Every day at Macmillan we hear how these unacceptable delays can cause needless anxiety and even result in a worse prognosis. People’s lives are being put at risk, and it’s simply not good enough,” she said.
Health and Social Care Secretary Victoria Atkins said the figures showed the progress “our fantastic NHS staff can make towards bringing waiting lists down when they don’t have to contend with industrial action”.
Image: Health Secretary Victoria Atkins. File pic
“November was the first month without industrial action for over a year, and we reduced the total waiting list by more than 95,000 – the biggest decrease since December 2010, outside of the pandemic,” she said.
“We want to put an end to damaging strikes once and for all, and if the BMA Junior Doctors Committee can demonstrate they have reasonable expectations, I will still sit down with them.”
Professor Sir Stephen Powis, NHS national medical director, added: “Despite winter pressures, significant demand and over a year of regular industrial action, the sheer volume of care delivered by NHS staff for patients across the country is hugely impressive, with more people than ever before treated in November and the waiting list falling for the second month in a row.
“We have experienced the toughest possible start to 2024 with the longest set of strikes in our 75-year history, but we remain focused on doing all we can to make progress on the covid backlog that has inevitably built up over the pandemic.
“While we know we have a long way to go, caring for over 1.6 million people in a single month is such important progress and makes such a huge difference for those patients who have been waiting for an appointment or operation.”
US Senate Democrats are getting flak after they helped move stablecoin legislation ahead for discussion on the Senate floor.
On May 19, 16 Democratic senators broke from the party line to pass a motion to invoke cloture, which will now set the bill up for debate on the Senate floor. Some of the same Democrats had held up the bill in early May when they withdrew support, citing corruption concerns over President Donald Trump’s cryptocurrency dealings.
The bill’s opponents hailed lawmakers’ refusal to support it but were soon taken aback when the senators reversed their position. The lightly amended legislation contained no provisions regarding World Liberty Financial, the Trump family’s crypto venture.
Some activists have said that the Democrats supporting the bill should be ousted in the upcoming Democratic primaries in 2026, reflecting a growing rift in the Democratic Party over cryptocurrencies.
The Senate voted 66-32 to move the bill ahead. Source: Stand With Crypto
Democratic lawmakers’ approach to crypto shows split in party
On May 19, moderate Democratic Senator Mark Warner announced he would support the bill, stating that it was “not perfect, but it’s far better than the status quo.”
Warner set corruption concerns aside, stating, “Many senators, myself included, have very real concerns about the Trump family’s use of crypto technologies to evade oversight […] But we cannot allow that corruption to blind us to the broader reality: blockchain technology is here to stay.”
Warner concluded it would be better for the US to move forward on imperfect stablecoin legislation than to fall behind other jurisdictions.
Democratic Senator Kirsten Gillibrand, one of the bill’s sponsors, also pushed aside Trump corruption concerns, saying they should be addressed separately.
“A lot of what President Trump is engaged in is already illegal,” she said, adding that she didn’t want the president’s scandals to “distract us from the important goal of having a clear regulatory structure in the United States that can onshore this industry.”
During the vote, progressive Democrats disagreed. Senator Elizabeth Warren, the top Democrat on the Senate Banking Committee and a vocal critic of the crypto industry, reportedly got into a heated argument with Gillibrand on the Senate floor.
Warren argued on the Senate floor ahead of the vote, “A bill that turbocharges the stablecoin market, while facilitating the President’s corruption and undermining national security, financial stability, and consumer protection is worse than no bill at all.”
Democrats opposing the bill aren’t giving up either. Senator Michael Bennet of Colorado, who voted against the GENIUS Act, immediately introduced another bill, jokingly named “the STABLE GENIUS Act,” combining the names of the bills in the Senate and House of Representatives.
The bill would prevent the president, vice-president and members of Congress from “issuing or endorsing digital assets” and require them to place any assets they hold in a blind trust while in office.
While the bill has little chance of passing — numerous acts that would limit members’ of Congress financial activities have fizzled out — it shows the Democrats are split on how they should provide opposition.
The progressive and activist wings of the Democratic party have roundly criticized Congressional leadership for compromising with Republicans on measures that, they claim, should be deal breakers.
In March, activists were enraged when Senator Chuck Schumer, a Democrat from New York and minority leader in the Senate, voted with the Republicans on a continuing resolution for government funding. One progressive observer accused him of giving up leverage and weakening the Democratic position.
Then, in April, disagreements over how Democrats should fight Trump’s mass deportations further deepened the rift.
Now, crypto has become another wedge between the activist wing, which provides crucial voter activation during elections, and centrists in Congress.
Ezra Levin, co-founder and co-executive director of progressive activist organization Indivisible, wrote on BlueSky:
Ezra Levin commenting on crypto bill. Source: Ezra Levin
Communications strategist Murshed Zaheed, who formally worked for the offices of Senator Harry Reid and Representative Louise Slaughter, urged people to call their senators to come out against the bill.
“Any Democrat who votes for this today — should never be taken seriously again if they send out emails, text and do videos […] talking a big game about Trump’s corruption,” he said.
Chris Kluwe, a former American football player who has since become a prominent activist within Democratic politics, said on May 20 he was “excited to get a chance to speak at the CA state Dem convention on May 31st, I’m sure [the bill] won’t come up at all in the 4 minutes I’ve been allotted.”
On BlueSky, labor researcher and media law historian Peter Labuza posted “Primary List” in reply to a post of the 16 Democratic senators who helped support the bill.
The subject of primary elections, the intra-party elections to decide who will represent the party in a given district, has also grown contentious.
On May 12, the Democratic National Convention (DNC) voted to void the results of an internal party vote nominating David Hogg as a vice chair. The decision essentially strips Hogg of his title at the DNC and, with it, the ability to promote his controversial policy of sponsoring progressive challengers in Democratic primary elections.
Hogg had planned to spend $20 million to support progressive and young candidates in Democratic Party primaries as part of the “Leaders We Deserve” campaign — an activist group that aims to elevate younger leaders with a more combative tone against the Trump administration.
With the stablecoin bills in the House and Senate poised to move ahead, the Democrats seem ill-suited to mount an effective opposition to the bills. Internal struggles and interests within Congress have disunited lawmakers, while activists want a new crop of congresspeople to represent them next term.
In the Democratic Party’s internal battle between the anti-crypto progressive wing and the pro-crypto pragmatists, the latter is winning out, so far.
Robinhood submitted a 42-page proposal to the US Securities and Exchange Commission (SEC), calling for a national framework to regulate tokenized real-world assets (RWAs).
The brokerage is seeking to modernize financial infrastructure by making tokenized assets legally equivalent to their traditional counterparts and enabling compliant onchain settlement, Forbes reported on May 20.
In the proposal, Robinhood also revealed plans for creating the Real World Asset Exchange (RRE), a trading platform offering offchain trade matching and onchain settlement for efficiency and transparency.
Robinhood is advocating for uniform federal standards to replace the patchwork of state-level securities regulations that currently apply. The platform would also integrate Know Your Customer (KYC) and Anti-Money Laundering (AML) tools through partners like Jumio and Chainalysis to meet global compliance expectations.
A key feature of the proposal is the push for token-asset equivalence. Under Robinhood’s plan, a token representing a US Treasury bond, for instance, would be treated as the bond itself, not a derivative or synthetic product.
That would allow institutions and broker-dealers to handle tokenized RWAs within the existing regulatory system, potentially streamlining custody, trading and settlement processes.
Source: Cointelegraph
Technically, RRE would be built on a dual-chain architecture utilizing Solana and Base, according to an overview of the proposal by Franklin Elevator. The system is designed to combine high-frequency offchain trade matching with onchain settlement.
Franklin Elevator said Robinhood projects the platform will achieve sub-10 microsecond matching latency and throughput of up to 30,000 transactions per second.
This could compress the US capital markets’ standard settlement time from T+2 to T+0, cutting trading costs by an estimated 30% annually.
“RWA tokenization represents a new paradigm for institutional asset allocation. Robinhood is committed to leading this trend under a compliant framework,” Robinhood CEO Vlad Tenev said.
Cointelegraph reached out to Robinhood for comment, but they hadn’t responded by publication time.
Robinhood’s proposal comes amid a renewed wave of interest in RWA tokenization, with major players from both traditional finance and crypto making headlines last week.
On April 30, BlackRock filed to create a blockchain-based share class for its $150 billion Treasury Trust Fund, allowing a digital ledger to mirror investor ownership. On the same day, Libre revealed plans to tokenize $500 million in Telegram debt via its new Telegram Bond Fund.
“The recent surge isn’t arbitrary. It’s happening because everything’s lining up,” Eric Piscini, CEO of Hashgraph, told Cointelegraph. “Rules are getting clearer in major markets. The tech is stronger, faster, and ready to scale. And big players are actually doing it,” he added.
Cryptocurrency exchange Kraken announced the launch of regulated derivatives trading on its platform under the European Union’s Markets in Financial Instruments Directive (MiFID II).
According to a May 20 announcement, Kraken’s perpetual and fixed maturity crypto futures contracts will be available for trading by retail and institutional customers in the European Economic Area (EEA). The announcement follows the exchange acquiring an MiFID license in early February through the acquisition of a Cypriot investment firm, approved by the Cyprus Securities and Exchange Commission.
Kraken’s head of exchange, Shannon Kurtas, said, “Europe is one of the fastest-growing regions for digital asset trading and investment, with some of the most sophisticated and demanding clients and institutions.”
He added, “Clients and partners increasingly seek comprehensive offerings within a regulated framework.”
Kraken had not responded to Cointelegraph’s request for comment by publication.
Release the Kraken
Kurtas said that following the deployment of the new derivatives products, “they [users] can seamlessly trade futures as part of a full suite of products” on the platform.
Derivatives, he said, will improve “capital efficiency, access to liquidity, reliability and enable sophisticated strategies and position management.” Kraken’s derivatives will be offered through a Cyprus-based MiFID II-regulated entity, Payward Europe Digital Solutions.
Major crypto exchange Gemini has also recently received regulatory approval to expand crypto derivatives trading across Europe. Gemini’s head of Europe, Mark Jennings, said in a May 9 statement:
“Once we commence business activities, we will be able to offer regulated derivatives throughout the EU and EEA [European Economic Area] under MiFID II.”
Decentralized finance platform Synthetix also plans to venture further into crypto derivatives with plans to re-acquire the crypto options platform Derive. The transaction is subject to approval from both the Synthetix and Derive communities.